Staff Reference

Cross Roads Staff Reference Form

The person has applied for a position with Cross Roads Camp and Retreat Center. Working at camp requires close interaction with children as well as the ability to communicate maturely and responsibly with adults and staff in a variety of situations. Your honest evaluation is important and very much appreciated.

* Required

Name of applicant *

Your answer

Ability to be a spiritual role model *

Excellent

Good

Fair

Poor

Required

Ability to relate to children *

Excellent

Good

Fair

Poor

Required

Ability to relate to peers *

Excellent

Good

Fair

Poor

Required

Ability to relate to supervisors *

Excellent

Good

Fair

Poor

Required

Ability to assume leadership roles *

Excellent

Good

Fair

Poor

Required

Ability to assume responsibility *

Excellent

Good

Fair

Poor

Required

Ability to work under stress *

Excellent

Good

Fair

Poor

Required

Ability to hold to a schedule *

Excellent

Good

Fair

Poor

Required

Ability to function as part of a team / community *

Excellent

Good

Fair

Poor

Required

Ability to be flexible *

Excellent

Good

Fair

Poor

Required

General character *

Excellent

Good

Fair

Poor

Required

Dependability *

Excellent

Good

Fair

Poor

Required

How long have you known the applicant, and in what capacity *

Your answer

Would you have any reservations about your child being in the care of this person? If yes, please explain

Your answer

Would you recommend this person to serve in a staff position at a church camp? Please explain

Your answer

To your knowledge, has the applicant ever been accused of child or sexual abuse? *

Your answer

Please make any additional comments that may be helpful in our hiring process.